| NPI | 1104073584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMINE JOSEPH DEFUSCO President 732-462-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NJ 25MA03532000) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2009-03-05 |